| James R Malinak M.d. Inc | |
|
5111 Garfield St Ste A La Mesa CA 91941-5103 | |
| (619) 460-4050 | |
| (619) 460-7441 |
| Full Name | James R Malinak M.d. Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5111 Garfield St, La Mesa, California |
| Authorized Official Name and Position | James R Malinak (OWNER) |
| Authorized Official Contact | 6194604050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Malinak M.d. Inc 5111 Garfield St Ste A La Mesa CA 91941-5103 Ph: (619) 460-4050 | James R Malinak M.d. Inc 5111 Garfield St Ste A La Mesa CA 91941-5103 Ph: (619) 460-4050 |
| NPI Number | 1124116462 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 11/24/2020 |
| Medicare PECOS PAC ID | 4284717687 |
|---|---|
| Medicare Enrollment ID | O20080207000686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124116462 | NPI | - | NPPES |
| 00G522380 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G52238 (California) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | G52238 (California) | Primary |
| Provider Name | James R Malinak |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497867501 PECOS PAC ID: 4183706518 Enrollment ID: I20080207000679 |
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